Aviation safety investigations & reports

Runway incursion - Piper PA-28-161 aircraft, VH-BZE and Piper PA-28R-200 aircraft, VH-PVL, Moorabin Airport, 11 August 2011

Investigation number:
AO-2011-097
Status: Completed
Investigation completed

Summary

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On 12 August 2010, at about 1402 Eastern Standard Time, the pilot of a Piper PA-28-161 (Warrior II) aircraft registered VH-BZE (BZE) was cleared by the Surface Movement Controller (SMC) to taxi to holding point Alpha 2 (A2) for a departure from runway 13R, on a private navigational flight from Moorabbin Airport, Victoria. Following line up checks, the pilot was issued a takeoff clearance for runway 13R. Another aircraft, VH-PVL, that had recently landed on runway 13R was cleared to cross runways 22, 17L and 17R during taxi. The pilot of BZE inadvertently began a take-off roll on runway 17R instead of runway 13R, which resulted in a runway incursion. The aircraft came within 100 m of each other before BZE exited at the first taxiway and returned to the apron. There were no injuries to the occupants and nil damage to either aircraft.

The pilot of BZE became disorientated at holding point A2 as it was a combined entry to both runway 13R and 17R. Information regarding potential runway conflict areas (hotspots) was available for the airport on the Airservices Australia (Airservices) website, but this was not common knowledge to all airport users.

Download Final Report - Bulletin
[Download  PDF: 5.43MB]
 
 
 
General details
Date: 11 August 2011   Investigation status: Completed  
Time: 1402 EST    
Location   (show map): Moorabin Airport   Investigation type: Occurrence Investigation  
State: Victoria   Occurrence type: Loss of separation  
Release date: 12 December 2011   Occurrence class: Airspace  
Report status: Final   Occurrence category: Serious Incident  
  Highest injury level: None  

Aircraft 1 details

Aircraft 1 details
Aircraft manufacturer Piper Aircraft Corp  
Aircraft model PA-28  
Aircraft registration VH-BZE  
Serial number 28-7916035  
Type of operation General Aviation-Unknown  
Damage to aircraft Nil  
Departure point Moorabin, VIC  
Destination Ballarat, VIC  

Aircraft 2 details

Aircraft 2 details
Aircraft manufacturer Piper Aircraft Corp  
Aircraft model PA-28  
Aircraft registration VH-PVL  
Serial number 28R-7335226  
Type of operation General Aviation-Unknown  
Damage to aircraft Nil  
Departure point Unknown  
Destination Moorabin,VIC  
Last update 14 November 2018